| NPI | 1124298773 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-03-10 |
| Last Updated | 2022-01-18 |
| Authorized Official | Pamela Tripp CEO Phone: 9105676194 |
| Mailing Address | 16526 Nc Highway 87 W Tar Heel, NC 28392-8608 United States 📍 View Map |
| Primary Practice Address | 16526 Nc Highway 87 W Tar Heel, NC 28392-8608 United States Phone: (910) 972-5720 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 3410494 | Other ID Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0002X – Pharmacy, Clinic Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NC | NC10010 |
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About NPI 1124298773
Bladen Lakes Community Health Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1124298773. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Tar Heel, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-03-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124298773?
NPI 1124298773 belongs to Bladen Lakes Community Health Center, a Pharmacy, Community/Retail Pharmacy in Tar Heel, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124298773 active?
The current status of NPI 1124298773 in the NPPES registry is Active. The record was last updated on 2022-01-18.
What specialty is NPI 1124298773?
NPI 1124298773 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124298773?
You can verify NPI 1124298773 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124298773?
The primary practice address on file for NPI 1124298773 is 16526 Nc Highway 87 W, Tar Heel, NC 28392-8608. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124298773 issued?
NPI 1124298773 was first issued (enumerated) on 2008-03-10. The NPPES record was last updated on 2022-01-18.
Practice Location Map
Bladen Lakes Community Health Center is located at 16526 Nc Highway 87 W, Tar Heel, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Bladen Lakes Community Health Center. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124298773. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | NC10010 | NC |